Provider Demographics
NPI:1023358793
Name:SEWELL, DAVID H (M D)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:H
Last Name:SEWELL
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1723 ORCHARD PL
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-4523
Mailing Address - Country:US
Mailing Address - Phone:423-245-2447
Mailing Address - Fax:423-245-1781
Practice Address - Street 1:1723 ORCHARD PL
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-4523
Practice Address - Country:US
Practice Address - Phone:423-245-2447
Practice Address - Fax:423-245-1781
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-18
Last Update Date:2013-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000011890208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)